Nicole Ann Weathers, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Munising, MI
NPI 1457793028 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1457793028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 4704273785 (MI)
- Practice address
- 601 W Superior St
Munising, MI 49862-1328 - Phone
- (906) 233-1322
- Fax
- (906) 233-1220
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704273785 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704273785 | MI | Yes |
Addresses
Primary practice location
601 W Superior St
Munising, MI 49862-1328
Mailing address
601 W Superior St
Munising, MI 49862-1328
Phone (906) 233-1322
Other names
- Nicole Ann Porter
Other providers in Munising, MI
- Three Little Birds Counseling, LLC
- Elena Torongo
- Jessie Lynn Trudgeon
- Jessica Maria Walther
- Linda Louise Wappner
- Jessie Webster
- Amy G Westcomb
- Adam Winkler
- Candace L Worthington
- Stephanie Nicole Wuest
All providers in Munising, MI · Psychiatric/Mental Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.